Provider Demographics
NPI:1063451540
Name:HAMILTON, DENNIS D (DDS)
Entity type:Individual
Prefix:DR
First Name:DENNIS
Middle Name:D
Last Name:HAMILTON
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:539 SCOTT RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:HARMONY
Mailing Address - State:PA
Mailing Address - Zip Code:16037-8823
Mailing Address - Country:US
Mailing Address - Phone:724-368-3369
Mailing Address - Fax:
Practice Address - Street 1:214 W GRANDVIEW AVE
Practice Address - Street 2:
Practice Address - City:ZELIENOPLE
Practice Address - State:PA
Practice Address - Zip Code:16063-1137
Practice Address - Country:US
Practice Address - Phone:724-452-7960
Practice Address - Fax:724-452-7429
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS021244L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice